<div class="easyui-layout" data-options="fit:true,border:false">
	<div data-options="region:'center',border:false" style="overflow: hidden;padding: 10px;">
			<div class="edit-btn" style="height:auto;margin-right:0px">
				<div/>
			</div>
  			<form  class="main-form" method="post">	
			 	 	
		    <fieldset>		
			 <table>
			 		 	
				  <tr>
				 	<th>患者</th>
					<td><input name="patient_name" id="patient_name" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>病种</th>
					<td><input name="disease_name" id="disease_name" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>入院日期</th>
					<td><input name="inpatientDate" id="inpatientDate" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>住院天数</th>
					<td><input name="hospitalization_day" id="hospitalization_day" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>术前住院天数</th>
					<td><input name="before_day" id="before_day" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>是否完成（1\0)</th>
					<td><input name="finish_status" id="finish_status" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>好转（转归）（1\0)</th>
					<td><input name="turbiTurnBetter" id="turbiTurnBetter" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				 </tr>
				  <tr>
				 	 <th>治愈（转归）（1\0)</th>
					<td><input name="turbiCure" id="turbiCure" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 <tr>
				 	<th>死亡（转归）（1\0)</th>
					<td><input name="turbiDied" id="turbiDied" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>医院感染（1\0)</th>
					<td><input name="hospital_infection" id="hospital_infection" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>是否完成（1\0)</th>
					<td><input name="surgery_infection" id="surgery_infection" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				 <tr>
				 	<th>14天再住院（1\0)</th>
					<td><input name="hospitalized14" id="hospitalized14" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>30天再住院（1\0)</th>
					<td><input name="hospitalized30" id="hospitalized30" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>非计划重返手术（1\0)</th>
					<td><input name="unplanned_surgery" id="unplanned_surgery" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>并发症状（1\0)</th>
					<td><input name="complication" id="complication" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				  <tr>
				 	<th>是否变异（1\0)</th>
					<td><input name="variation" id="variation" type="text"  class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>
				    <th>管床医师</th>
					<td><input name="complication" id="doctor" type="text" class="easyui-textbox easyui-validatebox" style="width:300px" data-options="required:true"/></td>	
				 </tr>
				 
				 
				 
				 
				 
				 
				 
				 
			</table>
				<input name="id" id="id"  type="hidden"/>				
				<input name="paient_id" id="paient_id"  type="hidden"/>
				<input name="disease_id" id="disease_id"  type="hidden"/>
				</fieldset>
		</form>
			
			
		
		
	</div>
</div>
<script>

requirejs(['editPage','pathwayPatient','domReady!'],function(editPage,pathwayPatient,doc){
	editPage.init({doc:doc,
		rootId:'panel-pathwayPatient',
		subSystemCode:'sysman',
		moduleCode:'pathwayPatient',
		editWindow:'pathwayPatient-win',
		initElement:pathwayPatient.initEdit,
		beforeSubmit:pathwayPatient.beforeSubmit,
		afterSubmit:pathwayPatient.afterSubmit
	});
});	

</script>